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Alaska rates for HCPCS J7208

Injection, Factor VIII, (antihemophilic factor, recombinant), PEGylated-aucl, (Jivi), 1 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $4.88 / $17.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $4.92 / $6.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.04 / $7.04 / $7.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $8.52
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.70 / $5.07 / $7.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $6.62 / $10.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.98 / $5.35